A licensed practical/vocational nurse (LP/VN) is caring for clients on a rehabilitation unit
The nursing supervisor announced that a tornado has been spotted nearby and is headed toward the nursing facility, and the clients need to be placed into safety immediately. The staff are instructed, since they are on the first floor of a four-story building, to place anyone able to walk into the bathrooms, which are on the inside of the building without windows. If anyone has to stay in the room, place them as close to the center of the building as possible and cover them with pillows and blankets and pull the wood blinds and curtains. Which actions should the LP/VN provide to achieve protecting her clients in the timeliest fashion? Select all that apply.
A) Ask nursing assistant (NA) to pull blinds and curtains in rooms of clients who cannot be moved, rooms 4 and 6; place pillows over client's body with face free, and cover with three blankets from head to toe; move bed as close to door as possible with ventilator staying plugged into the essential "red" socket.
B) Ask unlicensed assistive personnel (UAP) to pull blinds and curtains in rooms of clients who cannot be moved, rooms 4 and 6; place pillows over client's body with face free, and cover with three blankets from head to toe; move bed as close to hall door as possible with ventilator staying plugged into the essential "red" socket.
C) Ask NA to transfer clients in rooms 5A and 5B to their wheelchairs and take them to the hall bathroom.
D) Ask UAP to transfer client in room 5A and 5B to their wheelchairs and take them to the hall bathroom.
E) The LP/VN quickly tells clients in rooms 1, 2, and 3 to go to the hall bathroom and stay there because a tornado has been sited.
F) The LP/VN quickly checks that all clients have been evacuated or are made as safe as possible and that the NA and UAP and the LP/VN enter the hall bathroom.
Ans: B, C, E, F
Feedback:
The LP/VN should delegate tasks according to the qualifications of the staff, so the NA has the most training and experience with transferring a client to a wheelchair and transporting clients. The UAP has the least training and experience and the nurse needs to provide specific instructions and may use this staff member to help with tasks such as pulling the blinds and placing pillows over the client. The LP/VN should quickly round starting with the ambulatory clients and direct them to the safe place, and then make sure all delegated tasks have been performed properly, and all clients are safe, and make sure the staff is safe.
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